person
Dr. Terry Dickerson, DPM
Foot & Ankle Surgery Podiatrist in Riverdale, Georgia
NPI 1598766313

Terry Dickerson is a Foot & Ankle Surgery Podiatrist based in Riverdale, GA and is specialized in Foot & Ankle Surgery. Terry Dickerson practices in Riverdale, GA and has the professional credentials of DPM. The NPI Number for Terry Dickerson is 1598766313 and holds a License No. 000890 (Georgia).

The current practice location address for Terry Dickerson is 6567 Professional Pl, Riverdale, GA and can be reached out via phone at 770-997-3668.

Location: 6567 Professional Pl, Riverdale, GA, 30274-2519
person
Provider Profile Details
NPI Number
1598766313
Provider Name
Terry Dickerson
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
6567 Professional Pl, Riverdale, GA, 30274-2519
Phone Number
770-997-3668
Fax Number
Provider Enumeration Date
08/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00869679E 05 GA
202833600 01 GA DEPARTMENT OF LABOR
7302184 01 GA AETNA
52811908 01 GA BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
6567 Professional Pl
City
State
Zip
30274-2519
Phone Number
770-997-3668
Fax Number
person
Provider Business Mailing Address Details
Address
6567 Professional Pl
City
State
Zip
30274-2519
Phone Number
770-997-3668
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
000890 (Georgia)
Definition
Definition to come...
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